SoMe - the good, the bad, the ugly
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Social Media and Medical Education at SODIT 2015 Risks and Benefits of Social Media in Medical Education
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SoMe - the good, the bad, the ugly
- 1. Lorem Ipsum Dolor SoMe - The Good, The Bad, The Ugly SODIT 2015 Adrian Wong @avkwong
- 5. Social Media is ….. ❖ For the youngsters, not me ❖ Waste of time ❖ Keeping in touch with distant loved ones ❖ Unavoidable in modern medicine ❖ The most AWESOME tool in my box
- 7. SO ME
- 10. F REE O PEN A CCESS M EDUCATION
- 12. Why FOAM
- 13. If you want to know how we practiced medicine 5 years ago, read a textbook. If you want to know how we practiced medicine 2 years ago, read a journal. If you want to know how we practice medicine now, go to a (good) conference. If you want to know how we will practice medicine in the future, listen in the hallways and use FOAM.
- 14. When was the last time you opened a text book?
- 15. LIKE IT OR NOT, YOU’RE ALREADY USING IT
- 16. LEARN
- 17. Learn ❖ Working smarter ❖ Wider access and sources ❖ Multiple mediums - visual vs audio ❖ Conferences ❖ Real-time
- 18. ENGAGE
- 19. SHARE
- 24. UGLY
- 27. 5 tips ❖ lifeinthefastlane.com ❖ Criticalcarereviews.com ❖ Twitter ❖ Feedly ❖ Evolve and adapt
- 33. WELCOME TO THE FOAMED PARTY
Editor's Notes
- A bit about myself… I trained in Wessex and am currently doing a fellowship in Oxford. Most of you will imagine Oxford to be full of beautiful buildings and spires…. in actual fact, the JR hospital itself is a bit depressing and the Adult ICU sits in the very basement of the hospital in need for redevelopment. There is no mobile reception and for most parts, the FOAMed forms the bulk of medical contact and education I get.
- Conflicts of interest - I haven’t got any financial conflicts. I have contributed to these various websites and do sit on the ICS and ESICM Trainee Committee but I do not get any money.
- Why am I here? It’s because I am a convert and I believe in FOAM and the use of social media to educate. Like most anaesthetist and intensivist, I like my technological toys but I don’t consider myself an early adopter. I only queued for the iPad 2 when it was launched. I certainly did not embrace the whole FOAM or twitter when it first came out. I tried it, tried to like but had significant doubts. I hope that my story and experience will perhaps convince some of you to at least consider trying it.
- Audience participation to get a feel of your own views about the area - BE HONEST The term that most accurately describes MY feelings about social media is…… For the younglings and not for me Complete waste of time for the health care professional To communicate with loved ones and families Integral to medical education
- In the next 20-25 minutes or so, I’m going to talk to you about - The what - what is FOAM, SMACC, SoMe etc I’m going to then tell you the whys i.e. the benefits. BUT I’m also going to tell you about the why nots i.e. the risk. I’m going to finish off by telling you how I’ve used FOAM/SoMe as part of my continual professional development.
- Right, lets start of with social media or So Me for short. So what is social media?
- Social media describes web-based applications that allow people to create and exchange content. These are just some of the myriad of apps, websites etc out there. The GMC guidance use the term to include blogs and microblogs (such as Twitter), internet forums (such as doctors.net), content communities (such as YouTube and Flickr), and social networking sites (such as Facebook and LinkedIn).
- I’ve picked out a couple of the more popular ones. How many of you have a twitter account? How many of you have a facebook account? How many of you have a google plus account? It’s the one that I’m currently exploring. Does anyone know what these two symbols are for - RSS and Feedly. That’s Feedly and that’s RSS. RSS stands for Rich/RDF Site Summary - standard web format to publish frequently updated content. In my personal opinion, it is an amazingly useful tool and if you haven’t got it, you should.
- I think the biggest problem with social media is the actual term itself. Rightly or wrongly, it conjures up a semi - or an almost non-professional entity. It implies fun and hides the potential of the medium itself. So what is FOAM ? It stands for Free Open Access to Meducation. SoMe is not the same as FOAM. The way I think about it, SoMe is the platform on which the FOAM message is disseminated.
- The origins of FOAM has almost reached urban legend status. It was coined by a chap called Mike Cadagon who is a ED physician from Australia. He presented the idea over a pint of Guinness in Dublin at the ICEM 2012 conference. Mike describe it as a ‘way of sharing education resources — new blogs, vodcasts, programs, etc.,” “It is a way of asking questions pertinent to medical education, research, best practices, and guidelines. It is a way of bringing the global medical community together’.
- So why should you use FOAM? As healthcare professionals we have the amazing opportunity to contribute to, collate and curate the exponential information influx. Everybody has something to share, something to teach and something to contribute. We share our skills, our time and our expertise on a daily basis in the hospital, clinic, on retrievals and in the field – and now we are involved in a global revolution in medical education. FOAM is not a new concept. The collaborative actions of individuals at a local and International level to advance medical education has been around for a very long time. However, with the advent of improved technology, global communication, and accurate text translation the world of medical education just got a whole lot more accessible.
- I saw this quote at a conference - it resonated very strongly with me. *read* This chap here is Joe Lex. American ED physician who gave a really thought-provoking talk on EM education and this is a quote from it. When I first saw it, I would agree with the first statement. Somewhat agree with the second one. Personally I was indifferent about the 3rd. I was a the stage of my training where I had attended several ICM conference. I was sick of listening to the same speakers telling people their own point of view over and over again. They would usually quote their own study, presented their interpretation of their data over and over again. I was undecided about the last one.
- When face with a knowledge deficit, what did you do? Who did you consult? When was the last time I opened a text book? When was the last time you opened a text book? The last time I picked up and read Oh’s Intensive Care Manual was when I sat the EDIC exam.
- If you’ve ever Googled a medical question. If you’ve ever searched for the definition of strong ion difference in the middle of a night ward round for the 16th time. If you’ve looked up the BTS guidelines for the diagnosis of pleural diseases. You have already started using social media and FOAM in your medical practice.
- The main reason for using FOAM is to LEARN. There is so much information out there. One of my favourite quotes on this comes from WF Miser back in 1999 - "If physicians would read two articles per day out of the six million medical articles published annually they would fall 82 centuries behind with their reading” We need to work SMARTER. Technology and FOAM helps us to keep up to date. We no longer need to wait for the printed version of articles. Most reputable journals have electronic versions in addition to their printed version. I’m confident most of you in this room are already reading the electronic versions of journals. My wife would certainly prefer to do without the printed version completely. They have their own twitter account to inform us about the latest issues and highlight key articles. Because FOAM is without geographical boundaries, articles from across the world is accessible. Personally, I’ve discovered the Canadian Journal of Anaesthesia. My reading list has expanded several fold, horizons expanded. I’ve been sent articles from France and Scandinavia. It certainly opened my eyes. You can follow conferences without being there in person. Live twitter feeds, podcast, vodcast, blogs, America, Australia, Belfast. How many of you were at ESICM LIVES Barcelona last year? Big trials were released - ARISE, TRISS, Calories. They were released online. You could follow it online through the live video feed and……
- We need to work SMARTER. Technology and FOAM helps us to keep up to date. We no longer need to wait for the printed version of articles. Most reputable journals have electronic versions in addition to their printed version. I’m confident most of you in this room are already reading the electronic versions of journals. My wife would certainly prefer to do without the printed version completely. They have their own twitter account to inform us about the latest issues and highlight key articles. Because FOAM is without geographical boundaries, articles from across the world is accessible. Personally, I’ve discovered the Canadian Journal of Anaesthesia. My reading list has expanded several fold, horizons expanded. I’ve been sent articles from France and Scandinavia. It certainly opened my eyes. You can follow conferences without being there in person. Live twitter feeds, podcast, vodcast, blogs, America, Australia, Belfast. How many of you were at ESICM LIVES Barcelona last year? Big trials were released - ARISE, TRISS, Calories. They were released online. You could follow it online through the live video feed and……
- To engage with colleagues. You could interact immediately with experts from around the world. Taking the ARISE Trial presentation, colleagues from Australia were contributing to the discussion on the trial results. Various hospitals who had participated in the study gave their experience. Traditionally, you would read a paper, you might discuss it at your local journal club, etc. You might write a letter to the editor and if you are lucky, it might be published in the following month’s edition. FOAM takes it to a new level, discussions with colleagues around the globe in real time. If you wanted to ask the ARISE team their rationale for analysis x,y and z. Go ahead - they’ve got an official twitter account. I’ve DMed the PI of Optimise trial. He responded within minutes. An interview was being organised for JICScast there and then. Online discussion in the form of Google hangouts? Again, I’ve discussed fluids, advanced practitioners with colleagues from across the UK and world. I would argue that it is only through such engagement and exchange of ideas and view points that learning genuinely takes place.
- We need to be better a sharing information. Sharing learning experience. As a side issue, how many of you have read just the abstract of an article because the full text paper is behind a paywall?? Do you think that it is acceptable and appropriate to half read a paper? The whole open access and AllTrials.net movement is about this issue. I’ve developed a ‘healthy’ degree of scepticism when it comes to trials and research. I do read the abstract, then I move on to the methodology and data analysis. I believe that in all studies, if you torture the data enough, it will confess. You can find the latest guidelines, SOPs, etc. I try to work efficiently. There is little need to reinvent the wheel. I think the greatest failing of the healthcare is failing to learn from each other. The mistakes in one unit could happen in the unit down the road. Things are getting better though. The Safe Anaesthesia Liaison Group and its newsletter and email shot is just the start. Equally, good quality care and practices should be celebrated. A pat on the back. A well done.
- Once again, like it or not, FOAM is happening. This slide shows the exponential increase in the number of EM and CC websites/blogs/podcast available through the years.
- Screenshot of the ROYAL college of emergency medicine. These resources are very, very good. I must admit the EM team are streaks ahead of critical care UK. The resources are very down to earth.
- Screenshot from the SMACC website. SMACC stands for social media and critical care. NOT JUST MEDICS
- BUT, and there is a but, Probably the biggest reason given by sceptics about the whole FOAMed movement is control, governance and quality. Anyone can put together a website, blog, podcast. You could write an article crucifying ARDSnet if you so wish. Therefore, journals and articles need an editorial board to make sure the paper is accurate. Really??? Do you believe it this to be true? I must admit, I thought this… then several things happened …. I went to a statistics workshop (I know) and learnt that several major trials were flawed by simply using the incorrect statistical analysis and then there was the famous/infamous case of this man…. Anyone know who he is? Published in all the big journals on starch. My point is, if ppl are out to cheat, they will cheat and hence…..let the buyer beware. The spirit of FOAM is that anyone can access and scrutinise. Anyone is entitled to an opinion BUT professionalism is still expected. You could argue that an open access article can and will be scrutinised by all.
- The problem with the evangelists …….
- The GMC document reminding doctors of their professional responsibilities. Don’t be an idiot offline. Don’t be an idiot online.
- This graph illustrates the hype cycle accompanying all new technology - ranging from innovators, early adopters all the way to the laggards. Laggards - wait for everything to be done and sorted before coming to the party. All problems fixed and idea has matured. Doctors as a group tend to be conservative. Personally, I think that that SoMe/FOAMed are somewhere in the middle phase. It is specialty dependent though.
- So my top tips. Like I said, I was a sceptic and didn’t really like the whole twitter movement at the start. I don’t consider myself an evangelist but rather, I’ve found a system that works for me.
- If there is one website, I could recommend, this would be it. Excellent. International contributors. Weekly newsletter highlighting interesting articles in various fields - ultrasound, EM, Critical Care, etc. Their archive of learning resources is very very impressive. It’s almost my first port of call for all things critical care.
- The secret to passing the EDIC and FFICM exam is this absolute gem. Put together by a guy called Rob McSweeney. Top bloke, who clearly doesn’t sleep. Subscribe to the weekly newsletter. Their annual conference is probably the best reason to visit Belfast.
- Sign up to a twitter account. Its free. Its ok just to browse and lurk. You don’t have to interact, chat, talk, etc. Take your time to have a look around. KNOW WHO TO FOLLOW. Start with perhaps the established journals and societies. One of my older colleagues said, and I quote “I don’t want to see pictures of people’s cat and holidays”. You don’t have to. Keep twitter as a professional tool. When you are ready, you will discover tools/software to enhance your twitter experience. This is a software called TweetDeck. Its free - available on Mac and Windows. It allows you to organise your account on a homescreen. This is my screen. I was following the ISICEM conference.
- I mentioned a RSS reader. This is Feedly. Again free and multi-platform. Allows you to subscribe to various updates from websites and news portals.
- Up until a few months ago, I had abandon iPhone and was using an android phone. Blasphemy I know. But the reason for it was simply because Android allowed me to share and work across apps. I organise all my online activities as far as possible. If I see an interesting article on twitter, I save it to my Evernote folder for later reading. It’s only recently that iOS allowed me to this seamlessly. When it comes to appraisal time, I can produce a list of articles I have reviewed for websites, analytics and discussion of tweets at meetings, google analytics to the various websites I contribute to, etc. The difficulty is that there is currently no impact factor for SoMe and FOAMed resources. I’m working on this at the moment.
- Wrapping up. The way we communicate, the way we learn, the way we teach is changing. Nothing in medicine is static. Hence medical education and FOAM will continue to evolve. Challenge yourself to find a way that works for you. After all, we are all different and have different styles of learning and teaching.
- I leave you with this quote… This feisty looking lady is Grace Hooper. She was a Rear Admiral in the US Navy, “Amazing Grace”, she was one of the pioneers in computer programming, she coined the term debugging for fixing glitches in programmes and impressively had a US missile destroyer named after her.